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In 2024, the H5N1 bird flu virus jumped from wild birds to cows, shocking virus experts. The virus has since spread rapidly through US dairy herds and poultry flocks, infecting other mammals, including 70 Americans, one of whom died. Some experts claim the Biden administration was slow to respond, while the Trump administration laid off over 100 scientists. The virus spreads easily via milking equipment, and workers have also become infected. Experts fear the virus's pandemic potential, especially given its high mortality rate in past outbreaks. Testing was slow to start, and some states still test infrequently. A new strain in cattle has led to more severe disease in some people. The virus has spread to foxes, goats, pigs, rats, cats, and raccoons. Antibody tests on dairy workers revealed a 7% infection rate, suggesting many cases go undetected. Experts are concerned that the virus could evolve into a pandemic strain. A bird flu vaccine exists but isn't FDA-licensed, and the Trump administration paused funding for Moderna's vaccine. The USDA's milk testing program has helped slow the spread, but distrust of science and vaccines hinders prevention efforts. Some scientists claim the CDC influenza division has been decimated and that a communications ban has been put on federal workers.

Not many people in Canada have immunity to the infection, which shows that they have done a great job in preventing its spread. This lack of immunity is due to the low number of natural infections.

The call aims to unite four public health agencies to discuss the current situation regarding HPAI, particularly H5N1, and to share lessons learned about surveillance and epidemiology. CFIA presented their enhanced poultry surveillance plans, including efforts related to cattle and milk. The UK Health Security Agency shared insights from their asymptomatic human surveillance pilot. Don Sheppard emphasized the need for developing an assay for H5N1 to prepare for potential positive test results. He highlighted the challenges in determining the appropriate populations and techniques for serosurveillance, including the lack of serum samples from humans or cattle with H5N1. Ongoing discussions and work are focused on protocol development to ensure readiness for any developments in the situation.

Milk is banned in Australia, New Zealand, Canada, Japan, and the EU because cows were given the synthetic hormone RBGH to increase milk production. Public awareness led to consumer backlash, causing many manufacturers to discontinue its use. This demonstrates the impact of consumer action.

Jessica Hopkins from Public Health Ontario asked about plans for active surveillance in humans if there is a positive test for milk. The response mentioned developing enhanced surveillance protocols for farms, including baseline testing on pigs and birds. However, challenges were noted in implementing this plan due to sensitivities around farm access and testing migrant workers.

Eve inquired about the testing of pasteurized versus unpasteurized milk, highlighting a gap in data regarding unpasteurized samples. Jessica asked if there’s a plan for active human surveillance if milk tests positive. The response indicated that protocols for enhanced surveillance are being developed, focusing on farms and potentially involving pigs and avian species. There are sensitivities around farm access and communication with farmers, especially concerning undocumented workers. The BC team discussed ongoing challenges with communication and information sharing from CFIA, which complicates connections with farm families. They emphasized the need for better coordination among agencies and established protocols for notifications regarding poultry detections.

Jessica Hopkins from Public Health Ontario asked about plans for active surveillance in humans if there is a positive test for milk. The response mentioned ongoing work on enhanced surveillance protocols to be implemented on farms with positive cases. Challenges include logistical issues and sensitivities around testing on farms, such as dealing with undocumented or migrant workers.

The transmission of avian bird flu from animals to humans is rare. We should allow farms with chickens and cows to develop natural immunity, as they are constantly being reinfected by migratory mallard ducks and waterfowl. The practice of culling is not effective.

The discussion centers on concerns about the safety of pediatric vaccines, the governing framework for vaccination and related notifications, and how schools and child-care settings handle cases where vaccination is incomplete. Key points raised by Speaker 0 (in Japanese) include: - The number and variety of pediatric vaccines have been increasing, with regular schedules reaching up to about 30 doses from birth. - Some vaccines include additives such as thiomersal (mercury-containing) and, in the case of influenza vaccines given after six months, thiomersal and aluminum compounds, causing anxiety about brain development and cancer risk. - Thiomersal is described as an organomercury compound that biodegrades to ethylmercury; its linkage to neurodevelopmental disorders has been asserted in materials from the Ministry of Health, Labour and Welfare (MHLW). The materials indicate thiomersal and other additives (e.g., aluminum compounds) can be associated with concerns about cancer risk and memory impairment. The presenter cites materials labeled as current vaccine formulations like “Beugen” (B型肝炎ワクチン) containing thiomersal and organic silver derivatives, and notes concerns about aluminum compounds. - The speaker emphasizes that even with explanations from experts that trace amounts are unlikely to have measurable effects, caregivers remain cautious, influencing decisions about vaccinating their children. - There is a claim that disease risk reduction and broader environmental exposure concerns (e.g., artificial sweeteners, nicotine residues, colorants) contribute to vaccine hesitancy, especially given declining birth rates yet rising incidences of developmental disorders, dementia, or behavior-related conditions. - The speaker asks for the audience’s attention to the confusion surrounding vaccines and their additives, seeking to understand why some guardians opt not to vaccinate. Key organizational questions and clarifications provided by Speaker 1: - Under the Public Health Vaccination Act, local governments issue vaccination recommendations and encourage vaccination, including sending vaccination advisories that specify the timing and method. The notices concern vaccines such as the measles-mumps-rubella (MMR), human papillomavirus (HPV), and Japanese encephalitis vaccines. The advisory notices are not mandatory, but vaccination is strongly encouraged. - When a guardian declines vaccination, it does not constitute abuse or neglect according to the law; preventive services and enforcement do not classify non-vaccination as neglect. Speaker 3 and Speaker 4 address practical and ethical concerns in child-care and education contexts: - In child-care facilities, there is no legal right to label a guardian as neglect simply for non-vaccination, though vaccination status is recorded in health forms. They stress the goal of preventing punitive treatment of guardians and promoting fair, informed medical care for children. - Questions are raised about whether vaccination histories influence admission or screening processes for child-care and school enrollment. The response indicates vaccination status is not a disqualifying factor for admission, and the health information form includes vaccination history; non-vaccinated children should not be disadvantaged in enrollment. - It is acknowledged that some guardians and teachers may hold misconceptions about vaccines, including concerns about toxins. The discussion calls for improved information sharing among health services, childcare, and education officials to reduce misinformation and support informed decisions. Speaker 2 (Takena Kazuko, Head of Childcare Family Division) and Speaker 4 (Ministry or Education official) respond to concerns about information sharing and the role of staff training: - They emphasize the distinction between compulsory vaccination guidance and voluntary advisories, reiterating that withholding vaccination is not automatically considered neglect. - They agree on the need to prevent punitive attitudes toward guardians, to inform teachers and childcare staff about how to communicate vaccine information, and to ensure consistent understanding across health, childcare, and education sectors. - A request is made to improve public awareness so that vaccination decisions are respected and differences in opinion are honored. Overall, the transcript details regulatory mechanisms for vaccination recommendations, the non-punitive stance toward non-vaccination in guardians, and the need for better information sharing and respectful dialogue among public health, childcare providers, and schools to address vaccine hesitancy without resorting to neglect determinations.

The speaker emphasizes the complexity of the issue, stating that the health sector alone cannot solve it. Collaboration with other departments like Homeland Security and NATO is necessary. They stress the importance of countering anti-vaccine aggression, highlighting the impact of such beliefs on public health.

In 2024, the H5N1 bird flu virus jumped from wild birds to cows, shocking virus experts. The virus has since spread rapidly through US dairy herds and poultry, infecting other mammals, including 70 Americans, one of whom died. Some experts claim the Biden administration was slow to respond, while the Trump administration laid off scientists. The virus spreads easily and lingers on milking equipment, infecting workers. Experts fear the virus's pandemic potential, citing its high mortality rate in past outbreaks. Testing was slow to start, and some states still test infrequently. A new strain in cattle has led to more severe disease in some people. The virus has spread to foxes, goats, pigs, rats, cats, and raccoons. Some studies suggest many human cases go undetected. Experts worry that the virus could evolve into a pandemic strain. A bird flu vaccine exists but is not FDA-licensed, and the Trump administration paused funding for Moderna's vaccine. The USDA's milk testing program has helped slow the spread, but distrust of science and vaccines hinders prevention efforts.

The call brought together public health agencies to discuss HPAI H5N1 surveillance and research. CFIA presented enhanced poultry surveillance plans, while the UK Health Security Agency shared their asymptomatic human surveillance pilot. Don Sheppard from PHAC emphasized the need for developing an assay for H5N1 testing. Discussions revolved around the extent of surveillance, target populations, and assay validation challenges due to limited serum samples. Protocol development is underway to prepare for potential positive test results.

The concerning issue is that the virus can infect multiple species, including pigs, which are often in close proximity to chickens and cows. This interaction raises the risk of a reassortment of viruses, potentially creating a new strain that combines the dangerous traits of H5N1 with the ability to spread between humans. Public health officials are particularly worried about this possibility due to the mixing of viruses in pigs. Although the current risk is considered low, the CDC emphasizes the need for vigilance as the situation could change.

The head of public health in Canada has been giving press conferences stating that the risk to Canadians is very low. The surveillance system is working as it should, detecting incoming cases and treating them appropriately. Information is being shared rapidly with other jurisdictions in Canada, allowing for a rapid response and containment of the disease spread. The risk remains low. People can protect their health by washing their hands, practicing good hygiene, and getting their flu shot, whether it's from coronavirus or the flu.

In the early 1900s, raw milk was praised for its health benefits by doctors like Charles Porter and Dr. Crew. Despite its historical value, raw milk is now illegal in 21 states due to safety concerns raised by the CDC and FDA. While some argue that raw milk has potential health benefits, others emphasize the risks associated with harmful bacteria. The shift in perception towards raw milk raises questions about the changing attitudes towards food safety and consumption over time.

I am Don Shepherd, VP of Infectious Diseases and Vaccination Programs. We are discussing testing for H5N1. There are questions about which populations to test, what methods to use, and whether to use molecular or serosurveillance techniques. There are challenges in validating assays due to limited serum samples. In the US, testing on dairy and beef cattle has been negative. Plans include testing asymptomatic cows and commercial milk samples. Wastewater testing is considered, but distinguishing between avian and bovine strains is difficult. We need to be prepared for positive results before deciding on implementation.

We are unaware of what we are consuming in our food supply. Merck has been injecting mRNA into pigs since 2018, creating transmissible mRNA that can be passed on to those who consume it. Without informed consent laws, those who have refused mRNA vaccines may unknowingly receive them through their food. This technology could be used in plants and animals, leading to unintended vaccination through food consumption.

Someone states they are passionate after 34 years of caring for animals that live to 75 and have names. They ask that "Connor," "Ethan," and "Lulu" not be shot. They acknowledge there's a policy in place, but argue it's time for a change, suggesting a report indicating every bird looks healthy. Another person responds that going against the entire industry is not their decision, and that changing to a non-eradication approach requires a national conversation with the CFIA and the Canadian government. When asked how long it would take for an ostrich to die from sickness, the response is hours to days, depending on the disease. Someone counters that there have been no avian flu deaths on the farm in eight days. Another person states that the challenge is control versus eradication, because one diagnosis puts the entire population at risk, mandating destruction.

We should be testing every cow weekly using pool PCR to detect asymptomatic infections. America's innovation allows for breakthroughs like pool testing dairy workers. Undetected cases in humans exist because we only track symptomatic individuals, leading to the spread of the virus. Switching to definitive laboratory testing is crucial to identify asymptomatic or mild cases that go unnoticed.

The call brought together public health agencies to discuss the HPAI H5N1 trajectory, focusing on enhanced surveillance and scientific efforts. CFIA presented enhanced poultry surveillance plans, while the UK Health Security Agency discussed their asymptomatic human surveillance pilot. PHAC emphasized the need to develop an assay for H5N1 testing. Technical questions remain about assay validation and population testing techniques. Work is ongoing to address these challenges and ensure preparedness for potential positive cases.

In Quebec, the concern about H5N1 avian influenza is not high among the general population, but authorities are vigilant. There is a call for coordination between agricultural and health agencies at the national level in Canada. Funding is being allocated to address knowledge gaps, and there is a focus on pandemic preparedness. It is suggested to expand surveillance efforts to include goat and sheep milk testing. Communication strategies and preparedness for potential positive cases in Canada are emphasized. In British Columbia, there is interest due to past avian influenza outbreaks in poultry. Vigilance is urged, especially regarding raw milk products and potential risks to pets.

We need to consider messaging about farm cats as pets. On a positive note, mink farms in BC were shut down, while Ontario still has them. A lawsuit against us was recently dismissed.

There is a lack of objectivity regarding the situation, which affects the advice given to the Alberta government and its citizens. Experts express concern about the influence of such reports, not just in Alberta but nationwide. It's essential to trust in the effectiveness of vaccines, as they have significantly impacted society over the past two generations. However, up to 35% of Canadian parents may doubt vaccination for their children. Social isolation, masking, and vaccine development are crucial for future public health, and it's vital that the public adheres to scientific guidance. The province plans to review the report and its findings, but no policy decisions have been made yet.

The speakers describe an eerily devastated site with extensive property damage and a semi-dismantled kill pen in the background, suggesting blood, carnage, and possible biohazard concerns. They note that the perpetrators “drove all around it and left,” then disappeared, leaving behind an impression of what happened. Speaker 1 observes enormous bales—much larger than typical hay bales—stacked on the property, describing them as about a foot to four feet high. They remark that birds are landing inside the area and pecking at whatever is there. They reference video from the day with dead ostriches still present, noting flocks of birds arriving, implying concern about the bird flu. The speakers recount that “they drove all around in the killing fields” and “kicking up hay as they left,” describing the act as tearing down their operations and leaving in a dismissive manner after terrorizing the family for a long period and slaughtering many birds. They mention “a thousand rounds” fired by marksmen that night, and state that this had “nothing to do with avian flu,” asserting that those shots were unrelated to the flu. Speaker 0 points to a pickup they saw stuck and seized in the area, with windows left open, illustrating the chaos and mess left behind. They emphasize the long duration of distress endured: “eleven months of hell, over six weeks or something like that of having this occupied land,” with RCMP provoking people and CFIA marksmen shooting, followed by the aftermath. Speaker 1 echoes the mess, suggesting it would have been easier to stack the birds or manage them differently, rather than creating the visible wreckage. They reiterate the claim that if the situation is labeled a biohazard, wild birds are currently seen around the area. They observe birds flying over the site, including a duck, indicating ongoing wildlife presence. Both speakers conclude by questioning the process: with an anonymous tip or accusation triggering CFIA involvement, suspicion alone seems to trigger actions that lead to destruction of holdings. They assert that CFIA will come in, destroy everything, and leave scorched earth, killing all animals, presenting this as the outcome. They end with the statement that this is Canada, folks.